CMS proposed granting device-intensive surgery status to procedures where the device is 30 percent of the ASC procedure rate, lowering the threshold for procedures to receive extra pay because costs for associated devices are so steep. Its current policy classifies device-intensive status as procedures where device costs exceed 30 percent of the hospital outpatient department rate, which is higher than the ASC rate.
“ASCA has long asked for adequate reimbursement of codes that involve significant device costs, and a policy in this proposed rule would more appropriately cover the costs of the devices ASC physicians often implant in patients,” said William Prentice, CEO of Ambulatory Surgery Center Association told Becker’s. “If adopted, we expect this policy to add more than 60 device-intensive procedures to the ASC setting and provide more adequate payment for more than 440 codes.”
To read more about how the proposed rule would affect ASCs, click here.
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.